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Herpes simplex virus detection and treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
User :   Hello doctor. Here is my concern.
User :   I had protected vaginal sex and unprotected sex with a friend 8 days ago. I am freaking out getting hsv 1 orally and today I am feeling very warm temperature. I took my temperature orally today and it was 98.8. Is that a fever? I hear fever is a symptom of both hsv 1 and 2.
Doctor :   hi
Doctor :   dr here
Doctor :   let me read ur quwery
User :   I mis-wrote. I had protected vaginal sex and Unprotected oral sex.
Doctor :   thats the normal temperarure
Doctor :   do u have ant cold sores or ulcers in the oral cavity ?
User :   How soon is synotoms of hsv1 or 2 were to show. How soon would they?
Doctor :   2-3 weeks post exposure
User :   Not in my mouth or genitals. I checked.
Doctor :   in that case, they are not HSV symptoms
User :   Could fever be the first symptom?
Doctor :   fatigue, lethargy , mild fever body pain could be symptoms
User :   Or do you get sores and fever at the same time.
Doctor :   but the classic symptoms are oral ulcers that are multiple and very painful
User :   I do have back pain.
Doctor :   yes within a day or two of each other
Doctor :   may i know your age ?
User :   29
Doctor :   ok
User :   You keep mentioning oral ulcers but not vaginal.
Doctor :   in case you are appprehensive, prophylactic medication cane be taken to prevent the symptoms
User :   Ok but technically for now, I have none of the symptoms. Temperature is normal and no sores.
Doctor :   you can ask ur doctor for a priscription of acyclovir cream for the oral lesions and oral tablets of acyclovir for a 5 days
User :   Am I over worrying?
Doctor :   in that case u just can relax and enjoy your weekend
Doctor :   yes u are anxious
Doctor :   just relax now and make sure that ur partner does not have any Herpes
User :   Ok so once again, 98.8 temperature is nothingn to worry about?
Doctor :   as i have said earlier that is the normal body temperature
Doctor :   and not need to worry about at all
User :   And why do some websites say that symptoms normally appear 2-7 post exposure
User :   Days
User :   Is it really 3 weeks?
Doctor :   the Incubation period for symptoms to be seen varies from 1 -2 weeks
Doctor :   but it is definitely seen within the first week
Doctor :   i meant it is not seen in the first week of exposure
Doctor :   after 7-14 days it can be seen
User :   So by day 14 if I have no symptoms I'm in the clear.
Doctor :   yes
User :   What are the risks from having protected sex just once?
Doctor :   protected sex - none
User :   And unprotected oral sex just once?
Doctor :   in that case any STD like herpes, hiv , Hepatitis B, HEPATITIS C, etc can be spread
Doctor :   also bacteria like EBV , CMV can be spread too
User :   Ok. I'll get tested for those. But orally it would only be herpes 1 which is supposedly milder.
Doctor :   both HSV 1 & 2 can be spread and can cause lesions
User :   But people have hsv 2 orally?
Doctor :   HSV 2 causes lesions in the oral vavity when u ahve oral sex , in a pateint having HSV 2 lesions in the genitalia
Doctor :   the lesions can be seen as oral ulcers that are painful
Doctor :   both HSV 1 &2 are similar in infectivity
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